Individual provider · NPI-1

Michael Thomas Bright, ABOC

Technician/Technologist, Optician · Philadelphia, PA

NPI number1790056992
StatusActive
Last updated in NPPESJan 19, 2012

Details

NPI
1790056992
Entity type
Individual (NPI-1)
Name
Mr. Michael Thomas Bright
Credential
ABOC
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2012
Last updated
Jan 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician166147PAYes

Practice location

51 N 39th St
Philadelphia, PA 19104-2640

Phone 215-662-8029 · Fax 215-662-0513

Mailing address

51 N 39th St
Philadelphia, PA 19104-2640

Phone 215-662-8029 · Fax 215-662-0513

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